In a developing country like India, study encompassing the clinical evaluation and management of lower limb varicose veins on the conventional lines seem a necessity to improve the quality care with the available resources.
Aims and Objectives
1. To analyse the age and sex incidence of lower limb varicose veins.
2. To study the correlation between occupation and lower limb varicose veins, the clinical manifestations of lower limb varicose veins, the different treatment modalities like sapheno-femoral flush ligation, multiple subfascial perforator ligations, stripping and sclerotherapy and the respective clinical outcomes at the end of three months of follow up.
Methods: A total 60 number of patients with primary lower limb varicose veins were admitted, investigated, operated and followed up from June 2019 to January 2020. Final outcome was evaluated.
Results: It was noted that the varicose veins affected the younger adult and middle age population. A greater portion (48.3) of the patients had combined valvular incompetence (sapheno-femoral and sapheno-popliteal incompetence) Sapheno-femoral flush ligation withstripping appeared to be the best method of surgical management for incompetence in the long saphenous vein territory. Subfascial perforator ligation in patients with no junctional incompetence showed no recurrence Sclerotherapy was found to be an effective procedure especially for early varicosities.
Conclusions: Majority 0f the patients presented with complications of varicose vein with combined valvular incompetence and Sapheno-femoral flush ligation with stripping appeared to be the best method of surgical management for incompetence in the great saphenous vein territory. When no junctional incompetence is present, performing sub facial perforator ligation alone for isolated perforator incompetence showed no recurrence in this study.